Get Sr-gl Life Claimant Statement (cl G012f) Original.doc

Filling out the SR-GL Life Claimant Statement (CL G012F) is a crucial step in processing a life insurance claim. This guide provides clear instructions on how to complete the form online to ensure your submission is accurate and complete.

Follow the steps to successfully complete the SR-GL Life Claimant Statement online.

1. Click 'Get Form' button to obtain the form and open it in your preferred editing application.
2. Begin with the Decedent Information section. Enter the name of the deceased, the last four digits of their Social Security Number, and any other names they may have been known by. Include the policy number and the date of death.
3. In the Claimant Information section, provide your name, physical address (no P.O. Boxes allowed), date of birth, Social Security or Tax ID number, and daytime phone number. Specify your relationship to the deceased and if you are a U.S. citizen.
4. If there is a second claimant, complete the corresponding fields for their information. Repeat the details as in step 3.
5. Select your preferred settlement option. Carefully review the options available and indicate your choice by name, ensuring to understand any required supporting documents.
6. Complete the Signature section. Both claimants must sign the form, acknowledging that the information provided is complete and true, and agree to the stated terms.
7. If claiming on behalf of a trust, complete the Trustee Certification section, including all necessary documentation such as a copy of the trust agreement.
8. Once you have filled in all required fields and sections, save the changes made to the document. You may then download, print, or share the form as needed to submit your claim.

Take action now and complete your SR-GL Life Claimant Statement online for efficient processing of your claim.